| NPI | 1063825503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KARTCHNER Owner 520-777-1973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 47138) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2022-10-13 |